First Name:
Last Name:
Email Address:
Phone no.:
Mobile No.:
Address 1:
Address 2:
City:
PIN:
Timeframe:
1 month 2-3 month More Then 3 month
Investment Capacity:
3-5 Lacs 5-10 Lacs Above 10 Lacs Others
Contact You By:
Mobile Phone Email All
Your present Occupation:
Occupation Business Services Self Employed Others
Time Commitment:
Full Time Part Time Others
Type of Shop/Space:
Rented Owened To be Select
Shop/Space Location:
In Mall In Multiplex In Hospital In Shoping Complex In Hotel Other Places
Shop/Space Area Sq Ft:
Less then 100 Sq.Ft 100-500 Sq.Ft 500-1000 Sq.Ft More Then 1000 Sq.Ft
In case franchisee is to be taken in Company’s Name name of the Company
Type of Company:
Pvt.Ltd Proprietorship Partnership Others
Do you want work as commission agent also